CASE OF DENTIGEROUS CYSTS TREATED BY MARSUPIALIZATION

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Journal of the Korean Academy of Pediatric Dentistry 2003;30(3):459-464.
Published online August 31, 2003.

CASE OF DENTIGEROUS CYSTS TREATED BY MARSUPIALIZATION

조대술을 이용한 함치성 낭종의 치료

박성진, 이광희, 김대업

원광대학교 치과대학 소아치과학교실.원광치의학연구소

Abstract

Dentigerous cyst is a cyst arising by tissue fluid accumulation between the enamel and the residual enamel epithelium. It includes the crown of the impacted tooth and excludes the root. The treatments of the dentigerous cyst are enucleation, marsupialization, decompression, surgical excision and etc. In these cases children were evaluated for the chief complaints of the remained mandibular primary second molar. Each cases showed swelling on the buccal side of the primary secondary premolar. In the radiologic evaluation a radiolucent lesion including the crown of the mandibular secondary premolar was found, and it was diagnosed as dentigerous cyst. And the histopathologic examination showed the same result. Marsupialization was operated through alveolar socket and the alveolar socket was protected with vaseline gauze, the obturator combined with space maintainer was followed by the operation. After the operation, the impacted permanent tooth was showing faster eruption speed than the other normal teeth.

Key Words: Dentigerous cyst, Marsupialization, Obturator